[1]肖全平,吴春根,王 涛,等.经皮椎体成形术治疗严重椎体压缩性骨折的临床价值 [J].介入放射学杂志,2014,(08):698-701.
 XIAO Quan ping,WU Chun gen,WANG Tao,et al.The clinical value of percutaneous vertebroplasty in treating severe vertebral compression fractures[J].journal interventional radiology,2014,(08):698-701.
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经皮椎体成形术治疗严重椎体压缩性骨折的临床价值 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年08期
页码:
698-701
栏目:
非血管介入
出版日期:
2014-08-25

文章信息/Info

Title:
The clinical value of percutaneous vertebroplasty in treating severe vertebral compression fractures
作者:
肖全平 吴春根 王 涛 顾一峰 程永德
Author(s):
XIAO Quan ping WU Chun gen WANG Tao GU Yi feng CHENG Yong de.
Department of Radiology, Affiliated Sixth People’s Hospital, Shanghai Jiaotong University, Shanghai 200233, China
关键词:
【关键词】 经皮椎体成形术 严重椎体压缩性骨折 临床价值
文献标志码:
A
摘要:
【摘要】 目的 探讨经皮椎体成形术(PVP)对严重椎体压缩性骨折治疗的临床价值。方法 回顾性分析2012年6月—2013年3月行PVP治疗严重椎体压缩性骨折30例患者、累及30节病变椎体的临床资料。根据椎体压缩形态分为楔形、双凹型以及长方形3种,楔形骨折采取健侧椎弓根入路,双凹形骨折采取单侧椎弓根入路,长方形压缩性骨折根据骨水泥填充情况采取单侧或双侧椎弓根入路。采用视觉模拟评分法(VAS)和WHO疼痛标准分级程度评价效果,测量压缩椎体术前高度及术后恢复高度。所有患者术后均通过门诊随访或电话随访6个月。结果 30节病变椎体穿刺成功率为100%。VAS评分术前平均6.9 ± 0.9,术后1 d、1个月、3个月、6个月分别为5.0 ± 0.9、3.5 ± 0.7、2.5 ± 0.8、1.6 ± 0.7。依据WHO标准完全缓解(CR)25例、部分缓解(PR)3例;无效2例;临床有效率(CR + PR)为93.3%;术前压缩椎体高度为(5.77 ± 1.09)mm;术后平均恢复高度为(14.33 ± 2.03)mm。结论 单纯PVP治疗严重椎体压缩性骨折方法可行,短期临床效果肯定。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2013-09-06)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2014-08-22